[A case of non-cardiac chest pain caused by esophageal motility disorder observed on esophageal high-resolution manometry]

Nihon Shokakibyo Gakkai Zasshi. 2018;115(4):401-408. doi: 10.11405/nisshoshi.115.401.
[Article in Japanese]

Abstract

A 20-year-old man was referred to our hospital with dysphagia and chest pain. Heart disease was denied. No abnormality was observed in upper esophagogastroduodenoscopy and fluoroscopy;furthermore, no gastric acid-related symptoms were observed on combined esophageal multichannel intraluminal impedance and pH monitoring. Esophageal high-resolution manometry (HRM) performed by liquid swallow revealed normal peristalsis;however, HRM performed while the patient was taking solid meals showed abnormal contraction, and the patient simultaneously complained of chest pain. Therefore, we diagnosed this case as non-cardiac chest pain due to esophageal motility disorder.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Chest Pain*
  • Deglutition Disorders
  • Esophageal Motility Disorders / diagnosis*
  • Humans
  • Male
  • Manometry*
  • Young Adult